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General NPI Number Information
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NPI Number | 1063456556
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Entity Type | Organization
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Legal Business Name | GIANT FOOD STORES, LLC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9645 W BROAD ST
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4116
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Country | US
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Telephone | 804-965-0533
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Fax | 804-965-0259
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Provider Business Mailing Address
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Address Line | 1149 HARRISBURG PIKE
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City | CARLISLE
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State | PA
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Zip | 17013-1607
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Country | US
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Telephone | 717-240-1526
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Fax | 717-960-4226
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY
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Name | MRS. LEIGH SHIRLEY
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Credential | RPH
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Telephone | 717-240-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0201002724
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201002724
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License Number State | VA
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